Risk factors for the development of varicose veins
- Heredity.
- Pregnancy is traditionally considered one of the main risk factors for the development of varicose veins, more frequent damage (3-4 times) to women.
- Obesity is a proven risk factor for varicose veins.At the same time, an increase in body weight index to 27 kg/m2 and above leads to an increase in disease frequency by 33%.
- Lifestyle has a significant impact on the development and course of varicose veins.In particular, the adverse effect of prolonged static loads with lifting weights or a property in the standing position and the session was proven
- In the course of varicose veins, nearby underwear, several corsets that increase intra -abdominal pressure have adverse effects.
- The high frequency of varicose veins in industrialized countries is to some extent due to nutritional characteristics.A high degree of processing and reduction of food in the diet of vegetables and raw fruits has led to a constant vegetable fiber deficiency necessary for venous wall remodeling and chronic constipation, which cause permanent increase in intra -air pressure.
- The dysormonal conditions are involved in the pathogenesis of varicose veins.Its role in recent years has increased progressively, which is due to the wide use of hormonal contraception, the popularization of hormone replacement therapy during the occurrence of menopause and in the treatment of osteoporosis.It is proven that estrogens and progesterone, as well as their derivatives, reduce the tone of the venous wall due to the gradual destruction of collagen and elastic fibers.
Clinical Image of Varicose veins
Varicose veins"This is a disease that is not indifferent to beautiful sex."A varizer of the veins of the female veins is sick on average three times more often than men.
Signs of varicose veins- Thrown of subcutaneous veins, pain, weight on the legs, swelling of the foot and leg, fatigue in the legs until the end of the day.The varicose nodes are often prone to the formation of blood clots and infection.Phlebitis can develop - inflammation of blood vessels orthrombophlebitis- Inflammation of the complicated vessels by the blood clots.Throughout the veins, there are difficult and very painful cords.The skin changes, loses its elasticity and the color is dense and dark brown.With easy injury, ulcers occur.A young woman can become a disabled person at 40.
One of the serious complications of varicose veins is thrombophlebitis - a process in which a thrombus with subsequent inflammation forms on the inner wall of the vein.This pathology is dangerous because the blood clot can come out with the flow of blood to enter the pulmonary artery (tel - the thromboembolism pulmonary artery) and lead to a person's death.This is why varicose veins are a dangerous disease that must be treated.
Varicose veins symptoms (these are the symptoms should make you cautious):
1. Pain.
The causes of varicose veins are very, very numerous.A variety of pain in varicose veins is also very rich:
- Hot pulsating pain,
- Night cramps and itching in the muscles,
- Walking pain
- Pain along venous trunks,
- Pain and Lymar in general in the legs
2. Swelling in the legs.
3. A feeling of explosion and gravity in the legs.
4. Skin changes.At first, the skin becomes dry, pigmentation appears - the skin of the legs darkens, covered with brown "spots".Subsequently, several dermatitis, eczema and trophic disorders called in the form of poorly curative wounds until ulcers can join these symptoms.
5. complicated and elongated ditches, which projected above the surface of the skin of the legs and feet, with cylindrical or mixed extensions.
6. Vascular stars (teneagioectasia).Yes, people with varicose veins are also included in the group of patients with small vein expansion, as the causes of their appearance are the same.
The initial stages of varicose veins development are very difficult to detect and diagnose, because in the early stages of the disease there is no main feature - varicose veins.And the first and first symptoms of varicose veins, such as the sensation of leg severity, moderate leg pain, increased fatigue, are also found with the early stages of arterial diseases, flat feet, lumbar osteochondrosis.In such difficult cases, it is impossible to make your own right diagnosis - you will need a doctor's appointment or even many experts - a phlebologist, a neurologist, a surgeon and a manual therapist.High precision instrumental diagnostic methods such as ultrasound will also be needed.
In phlegology, these symptoms are associated with the onset of pathological blood flow through deep veins.
Most of the time, women perceive the first signs of varicose veins in spring, when you can change the guard -but it is not known where venous "standards" came from the legs, legs and hips.The leg is deformed, becomes blue and ugly.
The first symptoms of leg varicose veins, along which you can suspect the onset of varicose veins, is an increase in the vein pattern on the leg skin.This defect, as already observed, is most often observed by young women: on the legs or hips, they notice wreaths, who were not there before.
And often these symptoms of a beginner disease precede the appearance of pain and other unpleasant sensations.Often, the first "findings" of veins are not accompanied by absolutely no unpleasant sensation.
Women are concerned about this vascular network only as a cosmetic defect.These patients usually resort to experts, just to eliminate cosmetic discomfort.
If you have thin and pale skin, the first symptoms of initial varicose veins are especially visible.They are thin veins that do not even project above the surface of the skin.The first symptoms of varicose veins may also look like a network of thin bluish vessels under the skin.
There may be no other complaints at the beginning of varicose veins.
The beginning of the development and progression of varicose veins is already manifested by us varicose that projected above the surface of the skin - one or more.This is the main symptom of initial varicose veins disease.
The varicose nodes can be detected more often on the inner surface of the legs or hips.With a long walk or prolonged position, a symptom of varicose veins such as fatigue, gravity in the legs, a feeling of burst (usually in calves) manifests itself.These symptoms are especially clearly manifested with prolonged stay in sitting or standing position.There is also painful or acute pain in places of varicose veins (dilated veins), seizures in the calf muscles, especially at night and sometimes at night.The first signs of dysfunction in the veins are also manifested by the swelling of the legs until the end of the day.Edema usually occurs at night, especially after the prolonged position.After night, the swelling disappears completely.
These varicose veins symptoms initially pass quickly if you relax, especially if you lie down.However, the disappearance or significant decrease in these symptoms when walking and after night rest are very characteristic of the symptoms of varicose veins.
But the varicose veins, if they are not seriously involved, do not withdraw, progress.Over time, these symptoms of varicose veins appear as convincing dark blue intradermal veins, protruding above the surface of the skin of the legs and feet and similar to very mature red grape clusters.All of this is accompanied by pain in the legs and calves, a feeling of warmth in the legs, night seizures in the calf muscles, swelling.Gradually, skin changes join these symptoms.At first, the skin is dry, darkens, a pigment appears in it - brown spots.A little later, the so -called trophic disorders begin to join: poorly healing explosions and even ulcers.
Pain begins to worry more and more often, especially in the afternoon or evening.
Varicose veins
There are many approaches to the treatment of varicose veins, but today the most effective method in treatment is surgical surgery -Venectomy.Drug therapy and compression are used as auxiliary methods in surgical treatment and as independent methods in the early stages of varicose veins and the presence of against -indications for surgical treatment.
Treatment of varicose veins should be complex and individual, usually includes a combination of conservative and surgical treatment.
Types of surgical treatment of varicose veins:
- Classical Phlebectomy
- Laser coagulation
- Combined method
For the treatment of varicose veins, modern medicine uses laser surgery (EVLC).This method involves laser intravascular coagulation.EVLC- An intravascular laser is an advanced method for the treatment of varicose veins.Laser exposure is a procedure that assumes an intermediate position between non-churgic and surgical methods to treat the disease.
DignityEVLC- This is a radical but low treatment.After these procedures, the patient can leave the clinic after a few hours, being in good physical condition.This treatment is performed under operating conditions and using local anesthesia.
Currently, the most modern laser devices are used.At the same time, the patient's problem areas are exposed to a laser with the ideal wavelength (1470 nm).The radial luminar used provides reliable vein closure.In this case, there are no side effects and surrounding tissues do not heat up.This is why, after such operation, the number of bruises is reduced and the post -operative period passes easily and painlessly.
The operation is not accompanied by cuts, does not leave pigmentation and scars.After 3 weeks after surgery, the patient's legs acquire a normal appearance without varicos.This treatment of varicose veins spread in Western countries.For large varicose veins, EVLC is used in combination with microflebectomy.This allows you to get a good aesthetic result.
Advantages of using EVLC:
- Rapid recovery
- Trauma
- High cosmetic effect
- Lack of marks on the skin of remote varicose veins
- The treatment is performed under local anesthesia (tumecent anesthesia)
- Lack of pain syndrome
- High therapeutic effect
Possible complications
Treatment with a laser technique has virtually no complications.Rare complications include burns, the likelihood of venous thrombophlebitis and paresthesia in the operated area.However, experienced phlebologists guarantee a qualitative result.
Such operations do not violate the patient's lifestyle.After intervention, it is necessary to wear compression socks to provide light pressure on the veins.Special products are applied to the area of nodes especially large varicose veins - cotton rollers or latex pillows.After the laser procedure, the patient is recommended to walk daily.
Treatment of varicose veins with a laser ensures preservation of the ability to work and physical activity.